| Doctor Name: | MR. GLENN DAVID PRETTITORE |
| NPI Number: | 1083663926 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | 40QA00989800 |
| Business Practice Address: | 233 Rock Rd #236 Glen Rock, NJ - 074521708 |
| Business Phone Number: | 2013457044 |
| Business Fax Number: | 2013457062 |
| Mailing Address: | 233 Rock Rd, #236 GLEN ROCK |
| State: | NJ |
| Postal Code: | 074521708 |
| Phone Number: | 2013457044 |
| Fax Number: | 2013457062 |
| NPI Enumeration Date: | 05/09/2006 |
| NPI Last Update Date: | 04/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 40QA00989800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |